A client has a mediastinal chest tube.Which symptoms require the nurse's immediate intervention?

Question

Quizplus · Accepted Answer

Immediate intervention is warranted if the client has tracheal deviation because this could indicate a tension pneumothorax; sudden shortness of breath because this could indicate dislodgment of the tube,occlusion of the tube,or pneumothorax; or drainage greater than 70 mL/hr because this could indicate hemorrhage.Disconnection at the Y site could result in air entering the tubing.Production of pink sputum,oxygen saturation less than 95%,and pain at the insertion site are not signs/symptoms that would require immediate intervention.

A Client Has a Mediastinal Chest Tube